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小儿慢性中耳炎Ⅰ型鼓室成形术的手术结果:一项前瞻性研究

Surgical Outcomes of Type 1 Tympanoplasty in Chronic Otitis Media in Paediatric Patients: A Prospective Study.

作者信息

Bhatti Harsimran, Goel Khushboo, Bhagat Sanjeev, Sharma Dinesh Kumar, Yadav Vishav, Aggarwal Ankita

机构信息

Department of Otorhinolaryngology, Civil Hospital, Dhuri, Punjab India.

Department of Otorhinolaryngology and Head & Neck Surgery, Government Medical College, Patiala, Punjab India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):3421-3426. doi: 10.1007/s12070-023-03965-1. Epub 2023 Jun 24.

DOI:10.1007/s12070-023-03965-1
PMID:37974782
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10645835/
Abstract

UNLABELLED

Objectives: To observe the surgical outcome of type 1 tympanoplasty in paediatric patients in the form of graft uptake and audiological improvement. Materials and methods: A prospective study was done in which 40 paediatric patients in age group 6-16 years, diagnosed of chronic otitis media, were taken up for tympanoplasty under general anaesthesia. Patients were followed in post operative period at 4, 6 and 12 weeks for assessment of graft status and audiological evaluation. Results: In this study, we found surgical success rate in the form of graft uptake in 80% of the cases and audiological improvement in 75% of the cases. Conclusion: Tympanoplasty is safe and effective in children with adequate graft uptake and audiological outcome.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s12070-023-03965-1.

摘要

未标注

目的:以移植物吸收情况和听力改善情况为形式,观察1型鼓室成形术在儿科患者中的手术效果。材料与方法:进行了一项前瞻性研究,选取40例年龄在6至16岁、被诊断为慢性中耳炎的儿科患者,在全身麻醉下进行鼓室成形术。术后分别在4周、6周和12周对患者进行随访,以评估移植物状态并进行听力评估。结果:在本研究中,我们发现80%的病例移植物吸收良好,手术成功率为80%,75%的病例听力得到改善。结论:鼓室成形术对儿童是安全有效的,移植物吸收和听力结果良好。

补充信息

在线版本包含可在10.1007/s12070-023-03965-1获取的补充材料。

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本文引用的文献

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Int J Pediatr Otorhinolaryngol. 2016 Nov;90:245-250. doi: 10.1016/j.ijporl.2016.09.024. Epub 2016 Sep 21.
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Paediatric tympanoplasty: comparative study between patients aged 5-8 years and those aged over 14 years.
J Laryngol Otol. 2016 Jul;130(7):635-9. doi: 10.1017/S002221511600815X. Epub 2016 Jun 10.
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Comparison of temporal muscle fascia and cartilage grafts in pediatric tympanoplasties.小儿鼓室成形术中颞肌筋膜与软骨移植的比较。
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Clinical Profile of Tubotympanic CSOM and Its Management With Special Reference to Site and Size of Tympanic Membrane Perforation, Eustachian Tube Function and Three Flap Tympanoplasty.鼓膜松弛部胆脂瘤中耳炎的临床特征及其治疗——特别参考鼓膜穿孔的部位和大小、咽鼓管功能及三瓣鼓膜成形术
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Long-term follow-up of chronic suppurative otitis media in a high-risk children cohort.高危儿童队列中慢性化脓性中耳炎的长期随访
Int J Pediatr Otorhinolaryngol. 2011 Jul;75(7):948-54. doi: 10.1016/j.ijporl.2011.04.017. Epub 2011 May 17.
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Pediatric myringoplasty: a study of factors affecting outcome.小儿鼓膜成形术:影响手术效果的因素研究
Int J Pediatr Otorhinolaryngol. 2011 Jun;75(6):818-23. doi: 10.1016/j.ijporl.2011.03.015. Epub 2011 Apr 9.
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A comparative evaluation of ear diseases in children of higher versus lower socioeconomic status.社会经济地位较高与较低的儿童耳部疾病的比较评估
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Tympanoplasty type I in children--an evaluative study.儿童I型鼓室成形术——一项评估研究。
Int J Pediatr Otorhinolaryngol. 2005 Aug;69(8):1071-6. doi: 10.1016/j.ijporl.2005.02.016. Epub 2005 Mar 20.
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